NCLEX NGN Pre-Test Exam 2025–2026
Accurate Real Exam Questions and Verified
Correct Answers JUST RELEASED
A nurse reviewing the record of a child with suspected acute poststreptococcal
glomerulonephritis notes that the child recently had a streptococcal throat infection that
was treated with antibiotics. Which diagnostic test will confirm the presence of acute
poststreptococcal glomerulonephritis does the nurse expect to find?
Throat culture
Blood urea nitrogen (BUN)
Antistreptolysin (ASO) titer
White blood cell (WBC) count - answer>>>C
In caring for a child admitted to the hospital with Kawasaki disease, the nurse should
monitor the child most closely for signs which complication?
Anemia
Renal failure
Thrombus formation
Gastrointestinal disturbances - answer>>>C
Kawasaki disease, also called mucocutaneous lymph node syndrome, is an acute febrile
exanthematous illness of children with a generalized vasculitis of unknown origin. A
generalized immune response affects the smooth muscle cells of the vascular walls. These
vascular changes, along with the increase in platelets that occurs as part of the disease,
can cause thrombus formation, myocardial infarction, and death in some children.
A nurse provides dietary instructions to the mother of a child with iron-deficiency anemia.
The nurse realizes the mother understands the instructions if the mother states she will
increase which food in the child's diet?
Milk
Cheese
Orange juice
Cream of Wheat - answer>>>D
A nurse provides home care instructions to an adolescent with sickle cell disease about
measures to prevent vaso-occlusive crisis. The nurse should emphasize which priority
instruction?
,Restrict fluid intake
Contact your primary health care provider if you have a fever.
Take acetylsalicylic acid (aspirin) immediately if a fever develops
Be sure to spend plenty of time in the fresh air and sun each day - answer>>>B
Fevers can initiate a vaso-occlusive crisis. Others should also be avoided.
A primary health care provider prescribes morphine sulfate, 2.5 mg intravenously stat, for
a client with terminal cancer. The medication ampule reads, "Morphine sulfate 10
mg/mL." How many milliliters of medication does the nurse prepare to administer the
correct dose? Please enter the number only. - answer>>>0.25
A nurse is caring for the client who is in bed and begins to exhibit seizure activity. Which
actions does the nurse implement to care for the client? Select all that apply.
Observing and timing the seizure
Loosening any restrictive clothing
Turning the client's head to the side
Removing the pads on the side rails
Inserting an airway into the client's mouth
Removing objects that might injure the client from the vicinity - answer>>>A, B, C, F
The nurse is participating in a facility's planning committee to deal with possible
bioterrorism threats. The nurse should recommend implementing which infection control
measures to be used for clients in whom smallpox is diagnosed? Select all that apply.
Enteric
Droplet
Contact
Standard
Protective isolation - answer>>>B, C, D
Smallpox is transmitted from person to person in infected aerosols and air droplets
spread by way of face-to-face contact with an infected person after fever has begun,
especially if the infected person is also coughing. The disease can also be transmitted in
contaminated clothes and bedding, although the risk of infection from this source is much
lower. Therefore droplet and contact precautions are necessary. Standard precautions are
implemented for the care of all clients. Enteric precautions are implemented if the
infectious agent is transmitted by way of contact with feces. Protective isolation is
implemented when the client is neutropenic and needs to be protected from infection.
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse notes
that the client is experiencing uterine hypertonicity. The nurse should take which action
immediately?
, Stop the oxytocin infusion
Check the client's blood pressure
Contact the primary health care provider
Place the client in a side-lying position - answer>>>A
An emergency department nurse is caring for an older client who may have been
physically abused by her caregiver. In planning care for the client, the nurse takes which
priority action?
Notifying the police department
Obtaining psychiatric help for the caregiver
Contacting adult protective services to investigate the situation
Telling the caregiver that he or she is not allowed to care for the client - answer>>>C
A nurse responds to an external disaster in a large city involving an explosion at a
shopping mall. Numerous victims require treatment. Which victim will the nurse attend to
first?
A victim with multiple bruises who is alert and oriented
A victim who has sustained multiple lacerations with minor bleeding
A victim who is alert and wandering around yelling that he cannot see
A victim with a crush injury to the abdomen who has no pulse or blood pressure -
answer>>>C
The victim who must be treated immediately because of the threat to life, limb, or vision
is categorized as emergent and is the priority.
A nurse stops at the scene of an automobile accident. One of the victims is sitting in the
driver's seat, complaining of severe muscle spasms in the neck area. The nurse must take
which action first?
Stabilize the neck area
Firmly massage the neck area
Assist the victim out of the automobile and lay the victim on the ground
Tell the victim that the nurse is leaving to call an ambulance but will be right back -
answer>>>A
A nurse assesses the chest tube drainage system of a client who has undergone thoracic
surgery and notes intermittent bubbling in the water seal chamber. One hour later, the
nurse notes the presence of continuous bubbling in the chamber. On the basis of this
finding, which would the nurse check first?
The chest tube connection sites
For bubbling in the suction-control chamber
Accurate Real Exam Questions and Verified
Correct Answers JUST RELEASED
A nurse reviewing the record of a child with suspected acute poststreptococcal
glomerulonephritis notes that the child recently had a streptococcal throat infection that
was treated with antibiotics. Which diagnostic test will confirm the presence of acute
poststreptococcal glomerulonephritis does the nurse expect to find?
Throat culture
Blood urea nitrogen (BUN)
Antistreptolysin (ASO) titer
White blood cell (WBC) count - answer>>>C
In caring for a child admitted to the hospital with Kawasaki disease, the nurse should
monitor the child most closely for signs which complication?
Anemia
Renal failure
Thrombus formation
Gastrointestinal disturbances - answer>>>C
Kawasaki disease, also called mucocutaneous lymph node syndrome, is an acute febrile
exanthematous illness of children with a generalized vasculitis of unknown origin. A
generalized immune response affects the smooth muscle cells of the vascular walls. These
vascular changes, along with the increase in platelets that occurs as part of the disease,
can cause thrombus formation, myocardial infarction, and death in some children.
A nurse provides dietary instructions to the mother of a child with iron-deficiency anemia.
The nurse realizes the mother understands the instructions if the mother states she will
increase which food in the child's diet?
Milk
Cheese
Orange juice
Cream of Wheat - answer>>>D
A nurse provides home care instructions to an adolescent with sickle cell disease about
measures to prevent vaso-occlusive crisis. The nurse should emphasize which priority
instruction?
,Restrict fluid intake
Contact your primary health care provider if you have a fever.
Take acetylsalicylic acid (aspirin) immediately if a fever develops
Be sure to spend plenty of time in the fresh air and sun each day - answer>>>B
Fevers can initiate a vaso-occlusive crisis. Others should also be avoided.
A primary health care provider prescribes morphine sulfate, 2.5 mg intravenously stat, for
a client with terminal cancer. The medication ampule reads, "Morphine sulfate 10
mg/mL." How many milliliters of medication does the nurse prepare to administer the
correct dose? Please enter the number only. - answer>>>0.25
A nurse is caring for the client who is in bed and begins to exhibit seizure activity. Which
actions does the nurse implement to care for the client? Select all that apply.
Observing and timing the seizure
Loosening any restrictive clothing
Turning the client's head to the side
Removing the pads on the side rails
Inserting an airway into the client's mouth
Removing objects that might injure the client from the vicinity - answer>>>A, B, C, F
The nurse is participating in a facility's planning committee to deal with possible
bioterrorism threats. The nurse should recommend implementing which infection control
measures to be used for clients in whom smallpox is diagnosed? Select all that apply.
Enteric
Droplet
Contact
Standard
Protective isolation - answer>>>B, C, D
Smallpox is transmitted from person to person in infected aerosols and air droplets
spread by way of face-to-face contact with an infected person after fever has begun,
especially if the infected person is also coughing. The disease can also be transmitted in
contaminated clothes and bedding, although the risk of infection from this source is much
lower. Therefore droplet and contact precautions are necessary. Standard precautions are
implemented for the care of all clients. Enteric precautions are implemented if the
infectious agent is transmitted by way of contact with feces. Protective isolation is
implemented when the client is neutropenic and needs to be protected from infection.
A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse notes
that the client is experiencing uterine hypertonicity. The nurse should take which action
immediately?
, Stop the oxytocin infusion
Check the client's blood pressure
Contact the primary health care provider
Place the client in a side-lying position - answer>>>A
An emergency department nurse is caring for an older client who may have been
physically abused by her caregiver. In planning care for the client, the nurse takes which
priority action?
Notifying the police department
Obtaining psychiatric help for the caregiver
Contacting adult protective services to investigate the situation
Telling the caregiver that he or she is not allowed to care for the client - answer>>>C
A nurse responds to an external disaster in a large city involving an explosion at a
shopping mall. Numerous victims require treatment. Which victim will the nurse attend to
first?
A victim with multiple bruises who is alert and oriented
A victim who has sustained multiple lacerations with minor bleeding
A victim who is alert and wandering around yelling that he cannot see
A victim with a crush injury to the abdomen who has no pulse or blood pressure -
answer>>>C
The victim who must be treated immediately because of the threat to life, limb, or vision
is categorized as emergent and is the priority.
A nurse stops at the scene of an automobile accident. One of the victims is sitting in the
driver's seat, complaining of severe muscle spasms in the neck area. The nurse must take
which action first?
Stabilize the neck area
Firmly massage the neck area
Assist the victim out of the automobile and lay the victim on the ground
Tell the victim that the nurse is leaving to call an ambulance but will be right back -
answer>>>A
A nurse assesses the chest tube drainage system of a client who has undergone thoracic
surgery and notes intermittent bubbling in the water seal chamber. One hour later, the
nurse notes the presence of continuous bubbling in the chamber. On the basis of this
finding, which would the nurse check first?
The chest tube connection sites
For bubbling in the suction-control chamber
